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THOMAS GRAFTON ISSERMOYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
11810 W MARKET PLACE, FULTON, MD 20759
(410) 644-1880
Mailing address
11810 W MARKET PLACE, FULTON, MD 20759

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5455
MD

Other

Enumeration date
01/04/2022
Last updated
01/04/2022
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